<Unavail>
LBN: Broulim Supermarkets, Llc
<Unavail> is an health care organization with primary practice located at 1855 W Broadway St , Idaho Falls ID 83402-3043. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Broulim Supermarkets, Llc can be contacted via phone (208) 529-3638, or through Hurst, Marcus via phone (208) 745-9201.
Contact Information
Primary practice address
1855 W Broadway St
Idaho Falls ID 83402-3043
Phone: (208) 529-3638
Fax: (833) 887-9907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1487117636 |
|---|---|
| LBN Legal business name | Broulim Supermarkets, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Hurst, Marcus PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2019 |
| Last updated | Jul 3rd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487117636 | NPPES |
| Other | 1309966 | NCPDP | |
| MEDICAID | 1487117636 | NCPDP | |
| Other | 53248RP | NCPDP |
Popular Providers
-
Walgreen Co
535 E 17Th St , Idaho Falls ID 83404-6154 -
Shopko Stores Operating Co Llc
800 E 17Th St , Idaho Falls ID 83404-6151 -
Michael D Merrill
180 S Holmes Ave , Idaho Falls ID 83401-3945 -
Rocky Mountain Pharmacy, Llc
3910 Washington Pkwy Ste A , Idaho Falls ID 83404-7884 -
Prescription Center, Llc
2252 Coronado St , Idaho Falls ID 83404-7552 -
Costco Wholesale Corporation
2495 E Lincoln Rd , Idaho Falls ID 83401-2203 -
Fred Meyer Stores Inc
1555 Northgate Mile , Idaho Falls ID 83401-2014 -
Walmart Inc.
500 S Utah Ave , Idaho Falls ID 83402-3305